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Seth Flam, DO

Lead Blogger: Seth Flam, DO

Dr. Flam is one of the founders of HealthFusion and serves as the company's CEO and President. He is board certified in Family Practice and is one of the creative forces behind MediTouch EHR.

SGR Repeal Passed by Senate; No ICD-10 Delay Included

CMS SGR Repeal with No ICD-10 Delay
The Senate passed the Medicare Sustainable Growth Rate (SGR) repeal late Tuesday, leaving only a signature from President Obama to make it law. The President has indicated that he is eager to sign the bill, which is notable not only for what it includes but for what it does not include—namely, another delay of ICD-10. The new legislation not only eliminates the annual 21 percent Medicare payment cut that has hung over doctors’ heads since 1997, but also makes value-based reimbursement the new model for Medicare reimbursement. The SGR repeal includes a […] Continue Reading

CMS Clears Up Chronic Care Management Confusion Over Medicare Advantage and More, Part II

Chronic Care Management and Medicare Advantage
In our previous blog post, we discussed clarification provided by CMS on the Chronic Care Management coding program, which has generated many questions. You can read the first blog post now. Here is the second part of the summary of the Q&A session from the CMS MLN Connects call on February 18, 2015: Q: Regarding the requirement that we share the care plan information electronically with other providers; what happens if one of the providers cannot receive that information electronically? A: We talked to the Office of the National Coordinator for Health […] Continue Reading

CMS Clears Up Chronic Care Management Confusion Over Medicare Advantage and More, Part I

Chronic Care Management and Medicare Advantage
CMS clarified lingering questions about the new Chronic Care Management code under Medicare Advantage plans recently in a memo to Medicare Advantage organizations and on other topics in a February Q&A session at the end of an MLN Connects National Provider Call. In the memo regarding Medicare Advantage, Kathryn Coleman, director of the Medicare Drug & Health Plan Contract Administration Group, confirmed that the CCM was a covered Medicare Part B service “included in the basic benefit offered by every MA (Medicare Advantage) plan.” However, Coleman noted that Medicare Advantage organizations “have […] Continue Reading

April EHR Newsletter: Meaningful Use Stage 3, ICD-10 and More

Meaningful Use Stage 3 and more
Be sure to review the April issue of our free newsletter for up to date articles on the proposed rule for Meaningful Use Stage 3 and what it means to your practice, whether a delay of ICD-10 is likely, free webinars, and much more. If you don’t receive the newsletter via email, sign up for the monthly emails now. Free Webinar — Meaningful Use Stage 3: What the Future Holds Tuesday, April 28, 2015 – 1:00 PM Eastern / 12:00 PM Central / 10:00 AM Pacific Meaningful Use Stage 3 is just […] Continue Reading

ICD-10 Deadline Delay Unlikely; SGR Fix Delayed But Likely

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The ICD-10 deadline is set for October 1, 2015—but will it stick? The deadline has been pushed out twice before, of course, and industry experts are holding their collective breath waiting to see whether Congress will once again delay implementation of the new code set. The House overwhelmingly approved a fix for Medicare’s Sustainable Growth Rate (SGR) without any change to the ICD-10 deadline, which was a relief to those hoping to implement ICD-10 this year. But then the U.S. Senate adjourned for a two-week recess on March 27 without acting on […] Continue Reading

Will the New Chronic Care Management Code Be Covered Under Medicare Advantage?

Chronic Care Management and Medicare Advantage
As the new Chronic Care Management code program is rolled out, providers have raised multiple questions that have yet to be answered about reimbursement for the code. One of the questions that have arisen in our recent webinars on the new program was whether the Chronic Care Management code would be covered under other programs such as Medicare Advantage. Currently, as we understand it, chronic care management is only covered for fee-for-service Medicare patients. This question has apparently been raised in other venues as well. At a recent educational session, CMS representatives […] Continue Reading

Visit Our Resource Center for Free Information on ICD-10, Chronic Care Management, More

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Looking for information on transitioning your practice to ICD-10, implementing a chronic care management program or addressing other important challenges? Good news: You can find a wealth of free information in the HealthFusion Resource Center, including: Live Webinars Webinar Recordings White Papers Infographics And more Each of these resources is designed to help you understand and navigate the new challenges facing medical practices, including: Chronic Care Management ICD-10 Practice Cash Flow Management PQRS Reporting Meaningful Use The Value-Based Modifier And more Among the important topics you can catch up on are: How […] Continue Reading

March EHR Newsletter: ICD-10, Meaningful Use Timeline, And More

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The March issue of our free newsletter is out, so be sure to review it for articles on the changes to the Meaningful Use timeline, how to prepare for ICD-10, free webinars, and much more. If you don’t receive the newsletter via email, sign up for the monthly emails now. Free Webinar — Free Webinar: ICD-10 Success: How to Get There from Here Tuesday, March 24, 2015 – 1:00 PM Eastern/10:00 AM Pacific ICD-10 is coming—will you be ready? Make sure you are with this complimentary overview of ICD-10 with expert coding consultant Betsy Nicoletti, […] Continue Reading

How to Prepare for the ICD 10 Deadline Without Blowing Your Budget

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Are you getting started with preparation for the transition to ICD-10 coding, and worried about how to make the transition in time for the ICD 10 deadline? Concerned that just the cost of training will blow your budget? If so, good news: There are a lot of free resources available to help you plan and make sure your practice is ICD-10 ready. Here are a few we recommend: 1.  The Centers for Medicare and Medicaid Services (CMS) offers a variety of resources including videos and planning tools for both small and larger […] Continue Reading

Free Webinar: ICD-10 Success: How to Get There from Here

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Tuesday, March 24, 2015 – 1:00 PM Eastern – 12:00 PM Central – 10:00 AM Pacific ICD-10 is coming—will you be ready? Make sure you are with this complimentary overview of ICD-10 and how to prepare with expert coding consultant Betsy Nicoletti. In this free webinar, you’ll review: Who’s Afraid of ICD-10? What ICD-10 is Made Of What To Do Now How to Get Ready And more You’ll hear expert advice on the structure of ICD-10, what codes you need to learn, the impact on your denials, how to develop a plan for the transition, how to […] Continue Reading